Provider Demographics
NPI:1922557685
Name:SAFE HAVEN RECOVERY CARE
Entity type:Organization
Organization Name:SAFE HAVEN RECOVERY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMMANUELLA MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VALME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-407-0353
Mailing Address - Street 1:515 CENTERPOINT DR STE 302
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-7570
Mailing Address - Country:US
Mailing Address - Phone:877-407-4552
Mailing Address - Fax:203-693-4552
Practice Address - Street 1:515 CENTERPOINT DR STE 302
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-7570
Practice Address - Country:US
Practice Address - Phone:877-407-4552
Practice Address - Fax:203-693-4552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No305R00000XManaged Care OrganizationsPreferred Provider Organization